NATHAN M LEBAK


Address: 252 Mchenry St Ste 8, Burlington, WI 53105-1828
Phone: 2627676000

NATHAN M LEBAK (NPI# 1285841155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285841155
Entity Type Individual
Full Name NATHAN M LEBAK
Credential MD
Practice Address 252 Mchenry St Ste 8
Burlington
WI 53105-1828
Mailing Address 3301 W Forest Home Ave
Milwaukee
WI 53215-2843
Practice Telephone 2627676000
Mailing Telephone 4143892233
Enumeration Date 2007-05-17
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
51921 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 35323300 05

Office Location

Street Address 252 MCHENRY ST STE 8
City BURLINGTON
State WI
Zip Code 53105-1828

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574288 Wisconsin Pain Management Specialists, LLC Pain Medicine 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 2018-07-09
1952845679 Jennifer Vozel Registered Nurse 40036 Bloomfield Rd, Burlington, WI 53105 2016-12-14
1356884613 Labadie Family Dentistry, S.c. Clinic/Center 5019 Mormon Rd., Burlington, WI 53105 2016-11-18
1043654288 Maureen Ann Mcnulty Acupuncturist 148 East State Street, Suite A, Burlington, WI 53105 2013-04-18
1003166349 Jessica Robinson Licensed Practical Nurse 7656 Highland Ave, Burlington, WI 53105 2012-09-13
1063677334 Douglas Armin Wild Sr. Dentist 2545 Partridge Wds. Ct., Burlington, WI 53105 2008-07-25
1346408945 William Henry Basil Dentist 222 Adams St, Burlington, WI 53105 2008-05-30
1912108689 Debra Jean Studey Leffelman Midwife, Lay 5617 Spring Valley Rd., Burlington, WI 53105 2007-05-30
1215142955 Michelle Marie Mehring Licensed Practical Nurse 541 Kearney Rd, Burlington, WI 53105 2007-05-14
1003982802 Alan Dean Meike Chiropractor 196 W Chestnut Street, Burlington, WI 53105 2006-11-27
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Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306140439 Jared I Darveaux Internal Medicine 311 Gundersen Dr, Onalaska, WI 54650 2011-01-04
1861468712 Robert J Kriz Internal Medicine 9013 Bentley Grn, Verona, WI 53593-7858 2006-02-28
1053739714 David L Peloza Internal Medicine 1821 S Stoughton Rd, Madison, WI 53716-2257 2014-03-31
1154616795 Ashvini Varadhi Biswas Internal Medicine 10400 75th St, Kenosha, WI 53142-7884 2011-06-11
1770885220 Serenity Health Care Center Sc Internal Medicine 2607 N Grandview Blvd, Waukesha, WI 53188-1686 2010-12-03
1285800367 Wayne Harry Konetzki Internal Medicine 403 N Grand Ave, Waukesha, WI 53186-4913 2008-05-07
1447309786 Mark H Hermanoff Internal Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2007-01-09
1407963457 Shelley K Watters Internal Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2006-08-24
1073543096 Anita I Gheller-rigoni Internal Medicine 855 N Westhaven Dr, Oshkosh, WI 54904-7668 2006-07-04
1326084534 Ravi Viswanathan Internal Medicine 451 Junction Rd, Madison, WI 53717-2656 2006-06-22
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Competitor

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City BURLINGTON
Zip Code 53105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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